{"id":16448,"date":"2024-02-29T15:27:02","date_gmt":"2024-02-29T14:27:02","guid":{"rendered":"https:\/\/www.dexeus.com\/fertility\/praediagnose-online\/"},"modified":"2025-06-16T17:12:59","modified_gmt":"2025-06-16T15:12:59","slug":"pradiagnose-online","status":"publish","type":"page","link":"https:\/\/www.dexeus.com\/fertility\/de\/pradiagnose-online\/","title":{"rendered":"Pr\u00e4diagnose online"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"16448\" class=\"elementor elementor-16448 elementor-3156\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d5ba0b0 e-con-full e-flex e-con e-parent\" data-id=\"d5ba0b0\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t<div class=\"elementor-element elementor-element-8fe9948 e-flex e-con-boxed e-con e-child\" data-id=\"8fe9948\" data-element_type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f3056bc elementor-widget elementor-widget-heading\" data-id=\"f3056bc\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Pr\u00e4diagnose online<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-0619e65 e-flex e-con-boxed e-con e-parent\" data-id=\"0619e65\" data-element_type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f8f4f52 elementor-widget elementor-widget-text-editor\" data-id=\"f8f4f52\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>F\u00fcllen Sie dieses Formular <strong>anonym und kostenlos aus<\/strong>, um <strong>ausf\u00fchrliche Informationen<\/strong> \u00fcber die Behandlung zu erhalten, die am besten zu Ihrer Situation passt. Wir werden Ihnen erkl\u00e4ren woraus die Behandlung besteht, wie hoch die Erfolgsaussichten bzw die Kosten sind, und wie lange Sie f\u00fcr die Durchf\u00fchrung ben\u00f6tigen.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-30f8376 e-flex e-con-boxed e-con e-parent\" data-id=\"30f8376\" data-element_type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-f3bf509 e-con-full e-flex e-con e-child\" data-id=\"f3bf509\" data-element_type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-732b28f dexeusfertility-preadignosis-form elementor-widget elementor-widget-shortcode\" data-id=\"732b28f\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><style type=\"text\/css\">#ipt_fsqm_form_wrap_12 .ipt_fsqm_form_logo img,\n\t#ipt_fsqm_form_wrap_12 .ipt-eform-width-restrain,\n\t#ipt_fsqm_form_wrap_12 .ipt_fsqm_form_message_restore,\n\t#ipt_fsqm_form_wrap_12 .ipt_fsqm_form_message_success,\n\t#ipt_fsqm_form_wrap_12 .ipt_fsqm_form_message_error,\n\t#ipt_fsqm_form_wrap_12 .ipt_fsqm_form_message_process,\n\t#ipt_fsqm_form_wrap_12 .ipt_fsqm_form_validation_error,\n\t#ipt_fsqm_form_wrap_12 .eform-ui-estimator {\n\t\tmax-width: 1800px;\n\t\tmin-width: 240px;\n\t}\n\n\t\/**\/<\/style><div\nid=\"ipt_fsqm_form_wrap_12\"\nclass=\"ipt_uif_front ipt_uif_common ipt_fsqm_form type_2 ui-front eform-ltr eform-override-element-material eform-override-alignment-centered\"\ndata-fsqmsayt=\"{&quot;auto_save&quot;:false,&quot;show_restore&quot;:true,&quot;restore&quot;:false,&quot;admin_override&quot;:false,&quot;user_update&quot;:false,&quot;interval_save&quot;:false,&quot;interval&quot;:&quot;30&quot;}\"\ndata-ui-type=\"2\"\ndata-ui-theme=\"[&quot;https:\\\/\\\/www.dexeus.com\\\/fertility\\\/wp-content\\\/uploads\\\/eform-custom-material\\\/form-theme-12.css?checksum=4211440348&amp;ver=4.18.0&quot;]\"\ndata-ui-theme-id=\"material-custom\"\ndata-eformanim=\"1\"\ndata-fsqmga=\"{&quot;enabled&quot;:false,&quot;manual_load&quot;:false,&quot;tracking_id&quot;:&quot;&quot;,&quot;cookie&quot;:&quot;auto&quot;,&quot;user_update&quot;:false,&quot;name&quot;:&quot;Prediagnostico Fertility DE&quot;,&quot;form_id&quot;:&quot;12&quot;}\"\ndata-fsqmreset=\"{&quot;reset&quot;:false,&quot;delay&quot;:10}\"\ndata-eformreg=\"{&quot;enabled&quot;:false,&quot;username_id&quot;:&quot;ipt_fsqm_form_12_pinfo_&quot;,&quot;password_id&quot;:&quot;ipt_fsqm_form_12_pinfo_&quot;,&quot;hide_pinfo&quot;:false,&quot;hide_meta&quot;:false,&quot;meta&quot;:[]}\"\ndata-eformscroll=\"{&quot;progress&quot;:false,&quot;message&quot;:false,&quot;offset&quot;:&quot;0&quot;,&quot;scrollOnError&quot;:true}\"\ndata-eform-cookie=\"0\"\ndata-subscription-form=\"false\"\ndata-instant-subscription=\"{&quot;doable&quot;:true,&quot;config&quot;:{&quot;enabled&quot;:false,&quot;min_tab&quot;:&quot;&quot;,&quot;debounce&quot;:&quot;3000&quot;},&quot;nonce&quot;:&quot;665efcf550&quot;}\"\n><style type=\"text\/css\">.ipt-uif-custom-material-custom [type=\"radio\"]:not(:checked) + label:before {display:none !important;}\n.ipt-uif-custom-material-custom [type=\"checkbox\"] + label:before {display:none !important;}\n.ipt-uif-custom-material-custom [type=\"checkbox\"] + label {padding-left: 20px !important;}\n.ipt-uif-custom-material-custom input[type=\"number\"] {text-align: center !important; 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Please enable it in order to use this form.<\/p><\/div><\/div>\n<\/noscript><style type=\"text\/css\">.ipt_uif_ajax_loader,\n\t\t\t.ipt_uif_ajax_loader *,\n\t\t\tipt_uif_ajax_loader *::before,\n\t\t\tipt_uif_ajax_loader *::after {\n\t\t\t\tbox-sizing: border-box;\n\t\t\t}<\/style><div\nclass=\"ipt_uif_init_loader ipt-eform-preloader-inline ipt_uif_ajax_loader\"><div\nclass=\"ipt-eform-preloader-inner\"><div\nclass=\"ipt-eform-preloader-circle\"><div\nclass=\"preloader-wrapper active\"><div\nclass=\"spinner-layer spinner-blue\"><div\nclass=\"circle-clipper left\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"gap-patch\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"circle-clipper right\"><div\nclass=\"circle\"><\/div><\/div><\/div><div\nclass=\"spinner-layer spinner-red\"><div\nclass=\"circle-clipper left\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"gap-patch\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"circle-clipper right\"><div\nclass=\"circle\"><\/div><\/div><\/div><div\nclass=\"spinner-layer spinner-yellow\"><div\nclass=\"circle-clipper left\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"gap-patch\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"circle-clipper right\"><div\nclass=\"circle\"><\/div><\/div><\/div><div\nclass=\"spinner-layer spinner-green\"><div\nclass=\"circle-clipper left\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"gap-patch\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"circle-clipper right\"><div\nclass=\"circle\"><\/div><\/div><\/div><\/div><\/div><div\nclass=\"ipt-eform-preloader-text\"><div\nclass=\"ipt-eform-preloader-text-inner ipt_uif_ajax_loader_text\">Loading<\/div><\/div><div\nclass=\"clear\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude class=\"ipt_uif_conditional_logic\" id=\"ipt_uif_conditional_logic_12\" 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Keiner der oben genannten Punkte&quot;,&quot;rel&quot;:&quot;or&quot;}},&quot;type&quot;:&quot;tab&quot;,&quot;m_type&quot;:&quot;layout&quot;},&quot;ipt_fsqm_form_12_mcq_50&quot;:{&quot;active&quot;:true,&quot;status&quot;:false,&quot;change&quot;:true,&quot;logic&quot;:{&quot;0&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;49&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;...mit meinem m\\u00e4nnlichen 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quot;mcq&quot;,&quot;key&quot;:&quot;75&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;46&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;2&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;75&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;47&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;3&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;75&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;48&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;4&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;75&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;49&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;5&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;75&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;50&quot;,&quot;rel&quot;:&quot;or&quot;}},&quot;type&quot;:&quot;checkbox&quot;,&quot;m_type&quot;:&quot;mcq&quot;}},&quot;indexes&quot;:{&quot;ipt_fsqm_form_12_mcq_66&quot;:[&quot;ipt_fsqm_form_12_tab_3_control_li&quot;,&quot;ipt_fsqm_form_12_tab_3_control_li&quot;,&quot;ipt_fsqm_form_12_tab_3_control_li&quot;,&quot;ipt_fsqm_form_12_tab_3_control_li&quot;,&quot;ipt_fsqm_form_12_tab_3_control_li&quot;],&quot;ipt_fsqm_form_12_mcq_67&quot;:[&quot;ipt_fsqm_form_12_tab_4_control_li&quot;,&quot;ipt_fsqm_form_12_tab_4_control_li&quot;,&quot;ipt_fsqm_form_12_tab_4_control_li&quot;,&quot;ipt_fsqm_form_12_tab_4_control_li&quot;,&quot;ipt_fsqm_form_12_tab_4_control_li&quot;],&quot;ipt_fsqm_form_12_mcq_68&quot;:[&quot;ipt_fsqm_form_12_tab_5_control_li&quot;,&quot;ipt_fsqm_form_12_tab_5_control_li&quot;,&quot;ipt_fsqm_form_12_tab_5_control_li&quot;,&quot;ipt_fsqm_form_12_tab_5_control_li&quot;,&quot;ipt_fsqm_form_12_tab_5_control_li&quot;],&quot;ipt_fsqm_form_12_mcq_69&quot;:[&quot;ipt_fsqm_form_12_tab_6_control_li&quot;,&quot;ipt_fsqm_form_12_tab_6_control_li&quot;,&quot;ipt_fsqm_form_12_tab_6_control_li&quot;,&quot;ipt_fsqm_form_12_tab_6_control_li&quot;,&quot;ipt_fsqm_form_12_tab_6_control_li&quot;,&quot;ipt_fsqm_form_12_tab_7_control_li&quot;,&quot;ipt_fsqm_form_12_tab_7_control_li&quot;,&quot;ipt_fsqm_form_12_tab_7_control_li&quot;,&quot;ipt_fsqm_form_12_tab_7_control_li&quot;,&quot;ipt_fsqm_form_12_tab_7_control_li&quot;],&quot;ipt_fsqm_form_12_mcq_70&quot;:[&quot;ipt_fsqm_form_12_tab_6_control_li&quot;,&quot;ipt_fsqm_form_12_tab_6_control_li&quot;,&quot;ipt_fsqm_form_12_tab_6_control_li&quot;,&quot;ipt_fsqm_form_12_tab_6_control_li&quot;,&quot;ipt_fsqm_form_12_tab_6_control_li&quot;,&quot;ipt_fsqm_form_12_tab_7_control_li&quot;,&quot;ipt_fsqm_form_12_tab_7_control_li&quot;,&quot;ipt_fsqm_form_12_tab_7_control_li&quot;,&quot;ipt_fsqm_form_12_tab_7_control_li&quot;],&quot;ipt_fsqm_form_12_mcq_71&quot;:[&quot;ipt_fsqm_form_12_tab_6_control_li&quot;,&quot;ipt_fsqm_form_12_tab_6_control_li&quot;,&quot;ipt_fsqm_form_12_tab_6_control_li&quot;,&quot;ipt_fsqm_form_12_tab_6_control_li&quot;,&quot;ipt_fsqm_form_12_tab_6_control_li&quot;,&quot;ipt_fsqm_form_12_tab_7_control_li&quot;,&quot;ipt_fsqm_form_12_tab_7_control_li&quot;,&quot;ipt_fsqm_form_12_tab_7_control_li&quot;,&quot;ipt_fsqm_form_12_tab_7_control_li&quot;,&quot;ipt_fsqm_form_12_tab_7_control_li&quot;,&quot;ipt_fsqm_form_12_tab_7_control_li&quot;],&quot;ipt_fsqm_form_12_mcq_49&quot;:[&quot;ipt_fsqm_form_12_mcq_50&quot;],&quot;ipt_fsqm_form_12_mcq_65&quot;:[&quot;ipt_fsqm_form_12_mcq_57&quot;,&quot;ipt_fsqm_form_12_mcq_57&quot;,&quot;ipt_fsqm_form_12_mcq_57&quot;,&quot;ipt_fsqm_form_12_mcq_57&quot;,&quot;ipt_fsqm_form_12_mcq_57&quot;,&quot;ipt_fsqm_form_12_mcq_57&quot;,&quot;ipt_fsqm_form_12_mcq_57&quot;,&quot;ipt_fsqm_form_12_mcq_57&quot;,&quot;ipt_fsqm_form_12_mcq_57&quot;,&quot;ipt_fsqm_form_12_mcq_57&quot;,&quot;ipt_fsqm_form_12_mcq_57&quot;,&quot;ipt_fsqm_form_12_mcq_57&quot;,&quot;ipt_fsqm_form_12_mcq_57&quot;,&quot;ipt_fsqm_form_12_mcq_57&quot;,&quot;ipt_fsqm_form_12_mcq_57&quot;,&quot;ipt_fsqm_form_12_mcq_57&quot;,&quot;ipt_fsqm_form_12_mcq_57&quot;,&quot;ipt_fsqm_form_12_mcq_57&quot;,&quot;ipt_fsqm_form_12_mcq_57&quot;,&quot;ipt_fsqm_form_12_mcq_57&quot;,&quot;ipt_fsqm_form_12_mcq_60&quot;,&quot;ipt_fsqm_form_12_mcq_60&quot;,&quot;ipt_fsqm_form_12_mcq_60&quot;,&quot;ipt_fsqm_form_12_mcq_60&quot;,&quot;ipt_fsqm_form_12_mcq_60&quot;,&quot;ipt_fsqm_form_12_mcq_60&quot;,&quot;ipt_fsqm_form_12_mcq_59&quot;,&quot;ipt_fsqm_form_12_mcq_59&quot;,&quot;ipt_fsqm_form_12_mcq_59&quot;,&quot;ipt_fsqm_form_12_mcq_59&quot;,&quot;ipt_fsqm_form_12_mcq_59&quot;,&quot;ipt_fsqm_form_12_mcq_59&quot;],&quot;ipt_fsqm_form_12_mcq_61&quot;:[&quot;ipt_fsqm_form_12_mcq_60&quot;],&quot;ipt_fsqm_form_12_mcq_50&quot;:[&quot;ipt_fsqm_form_12_mcq_66&quot;,&quot;ipt_fsqm_form_12_mcq_66&quot;,&quot;ipt_fsqm_form_12_mcq_66&quot;,&quot;ipt_fsqm_form_12_mcq_66&quot;,&quot;ipt_fsqm_form_12_mcq_66&quot;,&quot;ipt_fsqm_form_12_mcq_66&quot;,&quot;ipt_fsqm_form_12_mcq_66&quot;,&quot;ipt_fsqm_form_12_mcq_66&quot;,&quot;ipt_fsqm_form_12_mcq_66&quot;,&quot;ipt_fsqm_form_12_mcq_66&quot;,&quot;ipt_fsqm_form_12_mcq_66&quot;,&quot;ipt_fsqm_form_12_mcq_66&quot;,&quot;ipt_fsqm_form_12_mcq_66&quot;,&quot;ipt_fsqm_form_12_mcq_66&quot;,&quot;ipt_fsqm_form_12_mcq_66&quot;,&quot;ipt_fsqm_form_12_mcq_66&quot;,&quot;ipt_fsqm_form_12_mcq_66&quot;,&quot;ipt_fsqm_form_12_mcq_66&quot;,&quot;ipt_fsqm_form_12_mcq_66&quot;,&quot;ipt_fsqm_form_12_mcq_66&quot;,&quot;ipt_fsqm_form_12_mcq_67&quot;,&quot;ipt_fsqm_form_12_mcq_67&quot;,&quot;ipt_fsqm_form_12_mcq_67&quot;,&quot;ipt_fsqm_form_12_mcq_67&quot;,&quot;ipt_fsqm_form_12_mcq_67&quot;,&quot;ipt_fsqm_form_12_mcq_67&quot;,&quot;ipt_fsqm_form_12_mcq_67&quot;,&quot;ipt_fsqm_form_12_mcq_68&quot;,&quot;ipt_fsqm_form_12_mcq_68&quot;,&quot;ipt_fsqm_form_12_mcq_68&quot;,&quot;ipt_fsqm_form_12_mcq_68&quot;,&quot;ipt_fsqm_form_12_mcq_68&quot;,&quot;ipt_fsqm_form_12_mcq_68&quot;],&quot;ipt_fsqm_form_12_mcq_64&quot;:[&quot;ipt_fsqm_form_12_mcq_69&quot;,&quot;ipt_fsqm_form_12_mcq_69&quot;,&quot;ipt_fsqm_form_12_mcq_69&quot;,&quot;ipt_fsqm_form_12_mcq_69&quot;,&quot;ipt_fsqm_form_12_mcq_69&quot;,&quot;ipt_fsqm_form_12_mcq_69&quot;,&quot;ipt_fsqm_form_12_mcq_69&quot;,&quot;ipt_fsqm_form_12_mcq_69&quot;,&quot;ipt_fsqm_form_12_mcq_69&quot;,&quot;ipt_fsqm_form_12_mcq_69&quot;,&quot;ipt_fsqm_form_12_mcq_69&quot;,&quot;ipt_fsqm_form_12_mcq_69&quot;,&quot;ipt_fsqm_form_12_mcq_69&quot;,&quot;ipt_fsqm_form_12_mcq_69&quot;,&quot;ipt_fsqm_form_12_mcq_69&quot;,&quot;ipt_fsqm_form_12_mcq_69&quot;,&quot;ipt_fsqm_form_12_mcq_69&quot;,&quot;ipt_fsqm_form_12_mcq_69&quot;,&quot;ipt_fsqm_form_12_mcq_69&quot;,&quot;ipt_fsqm_form_12_mcq_69&quot;,&quot;ipt_fsqm_form_12_mcq_70&quot;,&quot;ipt_fsqm_form_12_mcq_70&quot;,&quot;ipt_fsqm_form_12_mcq_70&quot;,&quot;ipt_fsqm_form_12_mcq_70&quot;,&quot;ipt_fsqm_form_12_mcq_70&quot;,&quot;ipt_fsqm_form_12_mcq_70&quot;,&quot;ipt_fsqm_form_12_mcq_70&quot;,&quot;ipt_fsqm_form_12_mcq_71&quot;,&quot;ipt_fsqm_form_12_mcq_71&quot;,&quot;ipt_fsqm_form_12_mcq_71&quot;,&quot;ipt_fsqm_form_12_mcq_71&quot;,&quot;ipt_fsqm_form_12_mcq_71&quot;,&quot;ipt_fsqm_form_12_mcq_71&quot;],&quot;ipt_fsqm_form_12_mcq_75&quot;:[&quot;ipt_fsqm_form_12_mcq_76&quot;,&quot;ipt_fsqm_form_12_mcq_76&quot;,&quot;ipt_fsqm_form_12_mcq_76&quot;,&quot;ipt_fsqm_form_12_mcq_76&quot;,&quot;ipt_fsqm_form_12_mcq_76&quot;,&quot;ipt_fsqm_form_12_mcq_76&quot;,&quot;ipt_fsqm_form_12_mcq_76&quot;,&quot;ipt_fsqm_form_12_mcq_76&quot;,&quot;ipt_fsqm_form_12_mcq_76&quot;,&quot;ipt_fsqm_form_12_mcq_76&quot;,&quot;ipt_fsqm_form_12_mcq_76&quot;,&quot;ipt_fsqm_form_12_mcq_76&quot;,&quot;ipt_fsqm_form_12_mcq_76&quot;,&quot;ipt_fsqm_form_12_mcq_76&quot;,&quot;ipt_fsqm_form_12_mcq_76&quot;,&quot;ipt_fsqm_form_12_mcq_76&quot;,&quot;ipt_fsqm_form_12_mcq_76&quot;,&quot;ipt_fsqm_form_12_mcq_76&quot;,&quot;ipt_fsqm_form_12_mcq_76&quot;,&quot;ipt_fsqm_form_12_mcq_76&quot;,&quot;ipt_fsqm_form_12_mcq_86&quot;,&quot;ipt_fsqm_form_12_mcq_86&quot;,&quot;ipt_fsqm_form_12_mcq_86&quot;,&quot;ipt_fsqm_form_12_mcq_86&quot;,&quot;ipt_fsqm_form_12_mcq_86&quot;,&quot;ipt_fsqm_form_12_mcq_86&quot;,&quot;ipt_fsqm_form_12_mcq_86&quot;,&quot;ipt_fsqm_form_12_mcq_85&quot;,&quot;ipt_fsqm_form_12_mcq_85&quot;,&quot;ipt_fsqm_form_12_mcq_85&quot;,&quot;ipt_fsqm_form_12_mcq_85&quot;,&quot;ipt_fsqm_form_12_mcq_85&quot;,&quot;ipt_fsqm_form_12_mcq_85&quot;]},&quot;base&quot;:&quot;12&quot;}\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude class=\"ipt_fsqm_timer_data\" id=\"ipt_fsqm_timer_data_12\" value=\"{&quot;type&quot;:&quot;none&quot;}\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude class=\"ipt_fsqm_epoc_data\" id=\"ipt_fsqm_epoc_data_12\" value=\"{&quot;CURRENTYEAR&quot;:2026,&quot;CURRENTDATE&quot;:1778187643000,&quot;CURRENTDAY&quot;:7,&quot;CURRENTMONTH&quot;:5,&quot;CURRENTHOUR&quot;:21,&quot;CURRENTMINUTE&quot;:0,&quot;CURRENTSECOND&quot;:43,&quot;CURRENTWEEK&quot;:19,&quot;CURRENTEPOC&quot;:20580}\" \/><div\nstyle=\"display: none;\" class=\"ipt_uif_hidden_init\"><form\nmethod=\"post\" action=\"\" class=\"ipt_uif_validate_form ipt_fsqm_main_form\" id=\"ipt_fsqm_form_12\" autocomplete=\"on\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"action\" id=\"action\" value=\"ipt_fsqm_save_form\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_epoc\" class=\"eform-epoc-value\" value=\"1778187643\" \/>\n<input\ntype=\"hidden\" class=\"ipt_fsqm_form_tab_pos\" name=\"fsqm_form12_tab_pos\" value=\"0\" id=\"fsqm_form12_tab_pos\" \/>\n<input\ntype=\"hidden\" id=\"ipt_fsqm_form_data_save\" name=\"ipt_fsqm_form_data_save\" value=\"3d7d42fdba\" data-sayt-exclude \/>\t\t\t<input\ntype=\"hidden\" name=\"_wp_http_referer\" value=\"\/fertility\/de\/wp-json\/wp\/v2\/pages\/16448\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"form_id\" value=\"12\" \/><div\nclass=\"ipt-eform-width-restrain\"><div\nclass=\"ipt-eform-content \"><div\ndata-settings=\"{&quot;can_previous&quot;:false,&quot;show_progress_bar&quot;:false,&quot;progress_bar_bottom&quot;:false,&quot;block_previous&quot;:true,&quot;any_tab&quot;:false,&quot;type&quot;:&quot;2&quot;,&quot;scroll&quot;:true,&quot;decimal_point&quot;:2,&quot;auto_progress&quot;:false,&quot;auto_progress_delay&quot;:&quot;1500&quot;,&quot;auto_submit&quot;:false,&quot;hidden_buttons&quot;:true,&quot;scroll_on_error&quot;:true}\" class=\"ipt_fsqm_main_tab ipt_uif_tabs horizontal\"><div\nclass=\"ipt-eform-tab-nav-wrap\"><ul><li\nid=\"ipt_fsqm_form_12_tab_0_control_li\"><a\nclass=\"eform-ripple\" href=\"#ipt_fsqm_form_12_tab_0\"><span\nclass=\"eform-tab-labels\">Schritt 1 <\/span><\/a><\/li><li\nid=\"ipt_fsqm_form_12_tab_1_control_li\"><a\nclass=\"eform-ripple\" href=\"#ipt_fsqm_form_12_tab_1\"><span\nclass=\"eform-tab-labels\">Schritt 2 <\/span><\/a><\/li><li\nid=\"ipt_fsqm_form_12_tab_2_control_li\"><a\nclass=\"eform-ripple\" href=\"#ipt_fsqm_form_12_tab_2\"><span\nclass=\"eform-tab-labels\">Schritt 3 <\/span><\/a><\/li><li\nid=\"ipt_fsqm_form_12_tab_3_control_li\"><a\nclass=\"eform-ripple\" href=\"#ipt_fsqm_form_12_tab_3\"><span\nclass=\"eform-tab-labels\">Schritt  4 <\/span><\/a><\/li><li\nid=\"ipt_fsqm_form_12_tab_4_control_li\"><a\nclass=\"eform-ripple\" href=\"#ipt_fsqm_form_12_tab_4\"><span\nclass=\"eform-tab-labels\">Schritt 4 <\/span><\/a><\/li><li\nid=\"ipt_fsqm_form_12_tab_5_control_li\"><a\nclass=\"eform-ripple\" href=\"#ipt_fsqm_form_12_tab_5\"><span\nclass=\"eform-tab-labels\">Schritt 4 <\/span><\/a><\/li><li\nid=\"ipt_fsqm_form_12_tab_6_control_li\"><a\nclass=\"eform-ripple\" href=\"#ipt_fsqm_form_12_tab_6\"><span\nclass=\"eform-tab-labels\">Schritt 4 <\/span><\/a><\/li><li\nid=\"ipt_fsqm_form_12_tab_7_control_li\"><a\nclass=\"eform-ripple\" href=\"#ipt_fsqm_form_12_tab_7\"><span\nclass=\"eform-tab-labels\">Schritt 5 <\/span><\/a><\/li><\/ul>\n<i\nclass=\"eform-tab-nav eform-tab-nav-right ipt-icomoon-angle-right disabled eform-ripple\"><\/i>\n<i\nclass=\"eform-tab-nav eform-tab-nav-left ipt-icomoon-angle-left disabled eform-ripple\"><\/i>\n<span\nclass=\"eform-tab-passive-notifier\"><\/span>\n<span\nclass=\"eform-tab-active-notifier\"><\/span><\/div><div\nid=\"ipt_fsqm_form_12_tab_0\" class=\"ipt_fsqm_form_tab_panel\"><div\nid=\"ipt_fsqm_form_12_layout_0_inner\" class=\"ipt-eform-layout-wrapper\"><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_main_heading_column\"><div\nclass=\"ipt_uif_column_inner\"><h3 class=\"ipt_fsqm_main_heading ipt_uif_heading ipt_uif_divider ipt_uif_align_left ipt_uif_divider_no_icon ipt_uif_divider_icon_no_bg\">\n<span\nclass=\"ipt_uif_divider_text\">\n<span\nclass=\"ipt_uif_divider_text_inner\">\nSchritt 1<span\nclass=\"subtitle\"><\/span>\t\t\t\t<\/span>\n<\/span><\/h3><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_12[mcq][49][m_type]\" id=\"ipt_fsqm_form_12_mcq_49_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_12[mcq][49][type]\" id=\"ipt_fsqm_form_12_mcq_49_type\" value=\"radio\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_radio\" id=\"ipt_fsqm_form_12_mcq_49\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_12_mcq_49\">Ich m\u00f6chte eine <span\nstyle=\"color:#fb91a3; font-weight:600;\">Mutter<\/span> werden... <span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div>\t\t\t\t\t\t<label\nclass=\"ipt_uif_question_subtitle ipt_uif_label\" for=\"ipt_fsqm_form_12_mcq_49\">Jede Situation ist anders und erfordert eine spezifische Behandlung.<\/label><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_label_column column_3\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_12[mcq][49][options][]\"\nid=\"ipt_fsqm_form_12_mcq_49_options__0\"\nvalue=\"0\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_49_options__0\" data-labelcon=\"&#xe18e;\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/pareja.png\" alt=\"con mi pareja masculina\" \/>...mit meinem m\u00e4nnlichen Partner\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_3\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_12[mcq][49][options][]\"\nid=\"ipt_fsqm_form_12_mcq_49_options__1\"\nvalue=\"1\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_49_options__1\" data-labelcon=\"&#xe18e;\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/sola.png\" alt=\"yo sola\" \/>...auf eigene Faust\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_3\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_12[mcq][49][options][]\"\nid=\"ipt_fsqm_form_12_mcq_49_options__2\"\nvalue=\"2\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_49_options__2\" data-labelcon=\"&#xe18e;\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/femenina.png\" alt=\"con mi pareja femenina\" \/>...mit meinem m\u00e4nnlichen Partner\t<\/label><\/div><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><div\nid=\"ipt_fsqm_form_12_tab_1\" class=\"ipt_fsqm_form_tab_panel\"><div\nid=\"ipt_fsqm_form_12_layout_1_inner\" class=\"ipt-eform-layout-wrapper\"><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_main_heading_column\"><div\nclass=\"ipt_uif_column_inner\"><h3 class=\"ipt_fsqm_main_heading ipt_uif_heading ipt_uif_divider ipt_uif_align_left ipt_uif_divider_no_icon ipt_uif_divider_icon_no_bg\">\n<span\nclass=\"ipt_uif_divider_text\">\n<span\nclass=\"ipt_uif_divider_text_inner\">\nSchritt 2<span\nclass=\"subtitle\"><\/span>\t\t\t\t<\/span>\n<\/span><\/h3><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_12[mcq][50][m_type]\" id=\"ipt_fsqm_form_12_mcq_50_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_12[mcq][50][type]\" id=\"ipt_fsqm_form_12_mcq_50_type\" value=\"slider\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_slider\" id=\"ipt_fsqm_form_12_mcq_50\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_centered\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_12_mcq_50_value\">Mein Alter ...<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_empty_box ipt_uif_slider_box\">\n<input\ndata-floats=\"1\" type=\"number\" min=\"18\" max=\"50\" step=\"1\" data-nomin=\"\" data-show-count=\"\" data-labels=\"{&quot;first&quot;:false,&quot;last&quot;:false,&quot;rest&quot;:false,&quot;labels&quot;:[]}\" data-prefix=\"20\" data-suffix=\"\" class=\"ipt_uif_slider check_me validate[funcCall[iptUIFSliderVal]]\" data-min=\"18\" data-max=\"50\" data-step=\"1\" name=\"ipt_fsqm_form_12[mcq][50][value]\" id=\"ipt_fsqm_form_12_mcq_50_value\" value=\"18\" data-vertical=\"\" data-height=\"300\" \/><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><div\nid=\"ipt_fsqm_form_12_tab_2\" class=\"ipt_fsqm_form_tab_panel\"><div\nid=\"ipt_fsqm_form_12_layout_2_inner\" class=\"ipt-eform-layout-wrapper\"><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_main_heading_column\"><div\nclass=\"ipt_uif_column_inner\"><h3 class=\"ipt_fsqm_main_heading ipt_uif_heading ipt_uif_divider ipt_uif_align_left ipt_uif_divider_no_icon ipt_uif_divider_icon_no_bg\">\n<span\nclass=\"ipt_uif_divider_text\">\n<span\nclass=\"ipt_uif_divider_text_inner\">\nSchritt 3<span\nclass=\"subtitle\"><\/span>\t\t\t\t<\/span>\n<\/span><\/h3><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_12[mcq][57][m_type]\" id=\"ipt_fsqm_form_12_mcq_57_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_12[mcq][57][type]\" id=\"ipt_fsqm_form_12_mcq_57_type\" value=\"checkbox\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_checkbox\" id=\"ipt_fsqm_form_12_mcq_57\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_centered\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_12_mcq_57\">Meine Krankengeschichte <span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][57][options][]\" id=\"ipt_fsqm_form_12_mcq_57_options__0\"\nvalue=\"0\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_57_options__0\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/baja-1.jpg\" alt=\"Baja\" \/>Geringe ovarielle Reserve\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][57][options][]\" id=\"ipt_fsqm_form_12_mcq_57_options__1\"\nvalue=\"1\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_57_options__1\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/trompas-1.jpg\" alt=\"Ligadura de trompas\" \/>Tubenligatur\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][57][options][]\" id=\"ipt_fsqm_form_12_mcq_57_options__2\"\nvalue=\"2\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_57_options__2\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/hereditaria-1.jpg\" alt=\"Enfermedad hereditaria\" \/>Erbliche Krankheit\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][57][options][]\" id=\"ipt_fsqm_form_12_mcq_57_options__3\"\nvalue=\"3\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_57_options__3\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/endometriosis-1.jpg\" alt=\"Soy seropositiva\" \/>Endometriose\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][57][options][]\" id=\"ipt_fsqm_form_12_mcq_57_options__4\"\nvalue=\"4\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_57_options__4\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/no-conozco-1.jpg\" alt=\"No conozco mi historia\" \/>Ich kenne meine Geschichte nicht \/ Keiner der oben genannten Punkte\t\t\t\t<\/label><\/div><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_12[mcq][60][m_type]\" id=\"ipt_fsqm_form_12_mcq_60_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_12[mcq][60][type]\" id=\"ipt_fsqm_form_12_mcq_60_type\" value=\"checkbox\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_checkbox\" id=\"ipt_fsqm_form_12_mcq_60\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_centered\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_12_mcq_60\">Meine Krankengeschichte <span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][60][options][]\" id=\"ipt_fsqm_form_12_mcq_60_options__0\"\nvalue=\"0\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_60_options__0\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/baja-1.jpg\" alt=\"Baja\" \/>Geringe ovarielle Reserve\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][60][options][]\" id=\"ipt_fsqm_form_12_mcq_60_options__1\"\nvalue=\"1\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_60_options__1\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/trompas-1.jpg\" alt=\"Ligadura de trompas\" \/>Tubenligatur\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][60][options][]\" id=\"ipt_fsqm_form_12_mcq_60_options__2\"\nvalue=\"2\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_60_options__2\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/hereditaria-1.jpg\" alt=\"Enfermedad hereditaria\" \/>Erbliche Krankheit\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][60][options][]\" id=\"ipt_fsqm_form_12_mcq_60_options__3\"\nvalue=\"3\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_60_options__3\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/endometriosis-1.jpg\" alt=\"Soy seropositiva\" \/>Endometriose\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][60][options][]\" id=\"ipt_fsqm_form_12_mcq_60_options__4\"\nvalue=\"4\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_60_options__4\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/no-conozco-1.jpg\" alt=\"No conozco mi historia\" \/>Ich kenne meine Geschichte nicht \/ Keiner der oben genannten Punkte\t\t\t\t<\/label><\/div><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_12[mcq][59][m_type]\" id=\"ipt_fsqm_form_12_mcq_59_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_12[mcq][59][type]\" id=\"ipt_fsqm_form_12_mcq_59_type\" value=\"checkbox\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_checkbox\" id=\"ipt_fsqm_form_12_mcq_59\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_centered\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_12_mcq_59\">Meine Krankengeschichte <span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][59][options][]\" id=\"ipt_fsqm_form_12_mcq_59_options__0\"\nvalue=\"0\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_59_options__0\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/baja-1.jpg\" alt=\"Baja\" \/>Geringe ovarielle Reserve\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][59][options][]\" id=\"ipt_fsqm_form_12_mcq_59_options__1\"\nvalue=\"1\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_59_options__1\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/trompas-1.jpg\" alt=\"Ligadura de trompas\" \/>Tubenligatur\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][59][options][]\" id=\"ipt_fsqm_form_12_mcq_59_options__2\"\nvalue=\"2\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_59_options__2\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/hereditaria-1.jpg\" alt=\"Enfermedad hereditaria\" \/>Erbliche Krankheit\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][59][options][]\" id=\"ipt_fsqm_form_12_mcq_59_options__3\"\nvalue=\"3\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_59_options__3\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/endometriosis-1.jpg\" alt=\"Soy seropositiva\" \/>Endometriose\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][59][options][]\" id=\"ipt_fsqm_form_12_mcq_59_options__4\"\nvalue=\"4\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_59_options__4\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/no-conozco-1.jpg\" alt=\"No conozco mi historia\" \/>Ich kenne meine Geschichte nicht \/ Keiner der oben genannten Punkte\t\t\t\t<\/label><\/div><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_12[mcq][66][m_type]\" id=\"ipt_fsqm_form_12_mcq_66_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_12[mcq][66][type]\" id=\"ipt_fsqm_form_12_mcq_66_type\" value=\"checkbox\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_checkbox\" id=\"ipt_fsqm_form_12_mcq_66\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_centered\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_12_mcq_66\">Meine Krankengeschichte <span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][66][options][]\" id=\"ipt_fsqm_form_12_mcq_66_options__0\"\nvalue=\"0\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_66_options__0\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/baja-1.jpg\" alt=\"Baja\" \/>Geringe ovarielle Reserve\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][66][options][]\" id=\"ipt_fsqm_form_12_mcq_66_options__1\"\nvalue=\"1\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_66_options__1\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/trompas-1.jpg\" alt=\"Ligadura de trompas\" \/>Tubenligatur\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][66][options][]\" id=\"ipt_fsqm_form_12_mcq_66_options__2\"\nvalue=\"2\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_66_options__2\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/hereditaria-1.jpg\" alt=\"Enfermedad hereditaria\" \/>Erbliche Krankheit\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][66][options][]\" id=\"ipt_fsqm_form_12_mcq_66_options__3\"\nvalue=\"3\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_66_options__3\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/endometriosis-1.jpg\" alt=\"Soy seropositiva\" \/>Endometriose\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][66][options][]\" id=\"ipt_fsqm_form_12_mcq_66_options__4\"\nvalue=\"4\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_66_options__4\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/no-conozco-1.jpg\" alt=\"No conozco mi historia\" \/>Ich kenne meine Geschichte nicht \/ Keiner der oben genannten Punkte\t\t\t\t<\/label><\/div><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_12[mcq][67][m_type]\" id=\"ipt_fsqm_form_12_mcq_67_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_12[mcq][67][type]\" id=\"ipt_fsqm_form_12_mcq_67_type\" value=\"checkbox\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_checkbox\" id=\"ipt_fsqm_form_12_mcq_67\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_centered\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_12_mcq_67\">Meine Krankengeschichte <span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][67][options][]\" id=\"ipt_fsqm_form_12_mcq_67_options__0\"\nvalue=\"0\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_67_options__0\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/baja-1.jpg\" alt=\"Baja\" \/>Geringe ovarielle Reserve\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][67][options][]\" id=\"ipt_fsqm_form_12_mcq_67_options__1\"\nvalue=\"1\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_67_options__1\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/trompas-1.jpg\" alt=\"Ligadura de trompas\" \/>Tubenligatur\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][67][options][]\" id=\"ipt_fsqm_form_12_mcq_67_options__2\"\nvalue=\"2\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_67_options__2\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/hereditaria-1.jpg\" alt=\"Enfermedad hereditaria\" \/>Erbliche Krankheit\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][67][options][]\" id=\"ipt_fsqm_form_12_mcq_67_options__3\"\nvalue=\"3\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_67_options__3\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/endometriosis-1.jpg\" alt=\"Soy seropositiva\" \/>Endometriose\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][67][options][]\" id=\"ipt_fsqm_form_12_mcq_67_options__4\"\nvalue=\"4\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_67_options__4\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/no-conozco-1.jpg\" alt=\"No conozco mi historia\" \/>Ich kenne meine Geschichte nicht \/ Keiner der oben genannten Punkte\t\t\t\t<\/label><\/div><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_12[mcq][68][m_type]\" id=\"ipt_fsqm_form_12_mcq_68_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_12[mcq][68][type]\" id=\"ipt_fsqm_form_12_mcq_68_type\" value=\"checkbox\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_checkbox\" id=\"ipt_fsqm_form_12_mcq_68\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_centered\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_12_mcq_68\">Meine Krankengeschichte <span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][68][options][]\" id=\"ipt_fsqm_form_12_mcq_68_options__0\"\nvalue=\"0\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_68_options__0\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/baja-1.jpg\" alt=\"Baja\" \/>Geringe ovarielle Reserve\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][68][options][]\" id=\"ipt_fsqm_form_12_mcq_68_options__1\"\nvalue=\"1\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_68_options__1\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/trompas-1.jpg\" alt=\"Ligadura de trompas\" \/>Tubenligatur\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][68][options][]\" id=\"ipt_fsqm_form_12_mcq_68_options__2\"\nvalue=\"2\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_68_options__2\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/hereditaria-1.jpg\" alt=\"Enfermedad hereditaria\" \/>Erbliche Krankheit\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][68][options][]\" id=\"ipt_fsqm_form_12_mcq_68_options__3\"\nvalue=\"3\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_68_options__3\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/endometriosis-1.jpg\" alt=\"Soy seropositiva\" \/>Endometriose\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][68][options][]\" id=\"ipt_fsqm_form_12_mcq_68_options__4\"\nvalue=\"4\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_68_options__4\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/no-conozco-1.jpg\" alt=\"No conozco mi historia\" \/>Ich kenne meine Geschichte nicht \/ Keiner der oben genannten Punkte\t\t\t\t<\/label><\/div><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_12[mcq][69][m_type]\" id=\"ipt_fsqm_form_12_mcq_69_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_12[mcq][69][type]\" id=\"ipt_fsqm_form_12_mcq_69_type\" value=\"checkbox\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_checkbox\" id=\"ipt_fsqm_form_12_mcq_69\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_centered\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_12_mcq_69\">Meine Krankengeschichte <span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][69][options][]\" id=\"ipt_fsqm_form_12_mcq_69_options__0\"\nvalue=\"0\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_69_options__0\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/baja-1.jpg\" alt=\"Baja\" \/>Geringe ovarielle Reserve\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][69][options][]\" id=\"ipt_fsqm_form_12_mcq_69_options__1\"\nvalue=\"1\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_69_options__1\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/trompas-1.jpg\" alt=\"Ligadura de trompas\" \/>Tubenligatur\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][69][options][]\" id=\"ipt_fsqm_form_12_mcq_69_options__2\"\nvalue=\"2\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_69_options__2\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/hereditaria-1.jpg\" alt=\"Enfermedad hereditaria\" \/>Erbliche Krankheit\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][69][options][]\" id=\"ipt_fsqm_form_12_mcq_69_options__3\"\nvalue=\"3\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_69_options__3\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/endometriosis-1.jpg\" alt=\"Soy seropositiva\" \/>Endometriose\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][69][options][]\" id=\"ipt_fsqm_form_12_mcq_69_options__4\"\nvalue=\"4\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_69_options__4\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/no-conozco-1.jpg\" alt=\"No conozco mi historia\" \/>Ich kenne meine Geschichte nicht \/ Keiner der oben genannten Punkte\t\t\t\t<\/label><\/div><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_12[mcq][70][m_type]\" id=\"ipt_fsqm_form_12_mcq_70_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_12[mcq][70][type]\" id=\"ipt_fsqm_form_12_mcq_70_type\" value=\"checkbox\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_checkbox\" id=\"ipt_fsqm_form_12_mcq_70\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_centered\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_12_mcq_70\">Meine Krankengeschichte <span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][70][options][]\" id=\"ipt_fsqm_form_12_mcq_70_options__0\"\nvalue=\"0\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_70_options__0\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/baja-1.jpg\" alt=\"Baja\" \/>Geringe ovarielle Reserve\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][70][options][]\" id=\"ipt_fsqm_form_12_mcq_70_options__1\"\nvalue=\"1\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_70_options__1\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/trompas-1.jpg\" alt=\"Ligadura de trompas\" \/>Tubenligatur\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][70][options][]\" id=\"ipt_fsqm_form_12_mcq_70_options__2\"\nvalue=\"2\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_70_options__2\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/hereditaria-1.jpg\" alt=\"Enfermedad hereditaria\" \/>Erbliche Krankheit\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][70][options][]\" id=\"ipt_fsqm_form_12_mcq_70_options__3\"\nvalue=\"3\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_70_options__3\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/endometriosis-1.jpg\" alt=\"Soy seropositiva\" \/>Endometriose\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][70][options][]\" id=\"ipt_fsqm_form_12_mcq_70_options__4\"\nvalue=\"4\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_70_options__4\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/no-conozco-1.jpg\" alt=\"No conozco mi historia\" \/>Ich kenne meine Geschichte nicht \/ Keiner der oben genannten Punkte\t\t\t\t<\/label><\/div><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_12[mcq][71][m_type]\" id=\"ipt_fsqm_form_12_mcq_71_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_12[mcq][71][type]\" id=\"ipt_fsqm_form_12_mcq_71_type\" value=\"checkbox\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_checkbox\" id=\"ipt_fsqm_form_12_mcq_71\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_centered\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_12_mcq_71\">Meine Krankengeschichte <span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][71][options][]\" id=\"ipt_fsqm_form_12_mcq_71_options__0\"\nvalue=\"0\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_71_options__0\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/baja-1.jpg\" alt=\"Baja\" \/>Geringe ovarielle Reserve\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][71][options][]\" id=\"ipt_fsqm_form_12_mcq_71_options__1\"\nvalue=\"1\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_71_options__1\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/trompas-1.jpg\" alt=\"Ligadura de trompas\" \/>Tubenligatur\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][71][options][]\" id=\"ipt_fsqm_form_12_mcq_71_options__2\"\nvalue=\"2\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_71_options__2\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/hereditaria-1.jpg\" alt=\"Enfermedad hereditaria\" \/>Erbliche Krankheit\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][71][options][]\" id=\"ipt_fsqm_form_12_mcq_71_options__3\"\nvalue=\"3\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_71_options__3\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/endometriosis-1.jpg\" alt=\"Soy seropositiva\" \/>Endometriose\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][71][options][]\" id=\"ipt_fsqm_form_12_mcq_71_options__4\"\nvalue=\"4\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_71_options__4\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/no-conozco-1.jpg\" alt=\"No conozco mi historia\" \/>Ich kenne meine Geschichte nicht \/ Keiner der oben genannten Punkte\t\t\t\t<\/label><\/div><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><div\nid=\"ipt_fsqm_form_12_tab_3\" class=\"ipt_fsqm_form_tab_panel\"><div\nid=\"ipt_fsqm_form_12_layout_3_inner\" class=\"ipt-eform-layout-wrapper\"><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_main_heading_column\"><div\nclass=\"ipt_uif_column_inner\"><h3 class=\"ipt_fsqm_main_heading ipt_uif_heading ipt_uif_divider ipt_uif_align_left ipt_uif_divider_no_icon ipt_uif_divider_icon_no_bg\">\n<span\nclass=\"ipt_uif_divider_text\">\n<span\nclass=\"ipt_uif_divider_text_inner\">\nSchritt  4<span\nclass=\"subtitle\"><\/span>\t\t\t\t<\/span>\n<\/span><\/h3><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_12[mcq][72][m_type]\" id=\"ipt_fsqm_form_12_mcq_72_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_12[mcq][72][type]\" id=\"ipt_fsqm_form_12_mcq_72_type\" value=\"checkbox\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_checkbox\" id=\"ipt_fsqm_form_12_mcq_72\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_12_mcq_72\">Die Krankengeschichte meines Partners<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][72][options][]\" id=\"ipt_fsqm_form_12_mcq_72_options__0\"\nvalue=\"0\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_72_options__0\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/pocos.jpg\" alt=\"Baja\" style=\"padding-left: 62px;\">Ich produziere wenig Sperma\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][72][options][]\" id=\"ipt_fsqm_form_12_mcq_72_options__1\"\nvalue=\"1\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_72_options__1\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/ninguno.jpg\" alt=\"Baja\" style=\"padding-left: 58px;\">Ich produziere keine Spermien\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][72][options][]\" id=\"ipt_fsqm_form_12_mcq_72_options__2\"\nvalue=\"2\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_72_options__2\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/vasectomia.jpg\" alt=\"Baja\" \/>Vasektomie\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][72][options][]\" id=\"ipt_fsqm_form_12_mcq_72_options__3\"\nvalue=\"3\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_72_options__3\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/seropositivo.jpg\" alt=\"Baja\" \/>HIV-positiv\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][72][options][]\" id=\"ipt_fsqm_form_12_mcq_72_options__4\"\nvalue=\"4\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_72_options__4\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/hepatitis.jpg\" alt=\"Baja\" \/>Hepatitis B oder C\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][72][options][]\" id=\"ipt_fsqm_form_12_mcq_72_options__5\"\nvalue=\"5\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_72_options__5\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/hereditaria-1.jpg\" alt=\"Baja\" style=\"padding-left: 32px;\">Erbliche Krankheit\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][72][options][]\" id=\"ipt_fsqm_form_12_mcq_72_options__6\"\nvalue=\"6\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_72_options__6\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/no-conozco-1.jpg\" alt=\"Baja\" style=\"padding-left: 26px;\">Ich kenne meine Geschichte nicht \/ Keiner der oben genannten Punkte\t\t\t\t<\/label><\/div><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><div\nid=\"ipt_fsqm_form_12_tab_4\" class=\"ipt_fsqm_form_tab_panel\"><div\nid=\"ipt_fsqm_form_12_layout_4_inner\" class=\"ipt-eform-layout-wrapper\"><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_main_heading_column\"><div\nclass=\"ipt_uif_column_inner\"><h3 class=\"ipt_fsqm_main_heading ipt_uif_heading ipt_uif_divider ipt_uif_align_left ipt_uif_divider_no_icon ipt_uif_divider_icon_no_bg\">\n<span\nclass=\"ipt_uif_divider_text\">\n<span\nclass=\"ipt_uif_divider_text_inner\">\nSchritt 4<span\nclass=\"subtitle\"><\/span>\t\t\t\t<\/span>\n<\/span><\/h3><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_12[mcq][73][m_type]\" id=\"ipt_fsqm_form_12_mcq_73_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_12[mcq][73][type]\" id=\"ipt_fsqm_form_12_mcq_73_type\" value=\"checkbox\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_checkbox\" id=\"ipt_fsqm_form_12_mcq_73\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_12_mcq_73\">Die Krankengeschichte meines Partners<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][73][options][]\" id=\"ipt_fsqm_form_12_mcq_73_options__0\"\nvalue=\"0\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_73_options__0\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/pocos.jpg\" alt=\"Baja\" style=\"padding-left: 62px;\">Ich produziere wenig Sperma\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][73][options][]\" id=\"ipt_fsqm_form_12_mcq_73_options__1\"\nvalue=\"1\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_73_options__1\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/ninguno.jpg\" alt=\"Baja\" style=\"padding-left: 58px;\">Ich produziere keine Spermien\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][73][options][]\" id=\"ipt_fsqm_form_12_mcq_73_options__2\"\nvalue=\"2\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_73_options__2\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/vasectomia.jpg\" alt=\"Baja\" \/>Vasektomie\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][73][options][]\" id=\"ipt_fsqm_form_12_mcq_73_options__3\"\nvalue=\"3\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_73_options__3\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/seropositivo.jpg\" alt=\"Baja\" \/>HIV-positiv\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][73][options][]\" id=\"ipt_fsqm_form_12_mcq_73_options__4\"\nvalue=\"4\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_73_options__4\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/hepatitis.jpg\" alt=\"Baja\" \/>Hepatitis B oder C\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][73][options][]\" id=\"ipt_fsqm_form_12_mcq_73_options__5\"\nvalue=\"5\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_73_options__5\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/hereditaria-1.jpg\" alt=\"Baja\" style=\"padding-left: 32px;\">Erbliche Krankheit\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][73][options][]\" id=\"ipt_fsqm_form_12_mcq_73_options__6\"\nvalue=\"6\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_73_options__6\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/no-conozco-1.jpg\" alt=\"Baja\" style=\"padding-left: 26px;\">Ich kenne meine Geschichte nicht \/ Keiner der oben genannten Punkte\t\t\t\t<\/label><\/div><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><div\nid=\"ipt_fsqm_form_12_tab_5\" class=\"ipt_fsqm_form_tab_panel\"><div\nid=\"ipt_fsqm_form_12_layout_5_inner\" class=\"ipt-eform-layout-wrapper\"><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_main_heading_column\"><div\nclass=\"ipt_uif_column_inner\"><h3 class=\"ipt_fsqm_main_heading ipt_uif_heading ipt_uif_divider ipt_uif_align_left ipt_uif_divider_no_icon ipt_uif_divider_icon_no_bg\">\n<span\nclass=\"ipt_uif_divider_text\">\n<span\nclass=\"ipt_uif_divider_text_inner\">\nSchritt 4<span\nclass=\"subtitle\"><\/span>\t\t\t\t<\/span>\n<\/span><\/h3><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_12[mcq][74][m_type]\" id=\"ipt_fsqm_form_12_mcq_74_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_12[mcq][74][type]\" id=\"ipt_fsqm_form_12_mcq_74_type\" value=\"checkbox\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_checkbox\" id=\"ipt_fsqm_form_12_mcq_74\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_12_mcq_74\">Die Krankengeschichte meines Partners<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][74][options][]\" id=\"ipt_fsqm_form_12_mcq_74_options__0\"\nvalue=\"0\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_74_options__0\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/pocos.jpg\" alt=\"Baja\" style=\"padding-left: 62px;\">Ich produziere wenig Sperma\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][74][options][]\" id=\"ipt_fsqm_form_12_mcq_74_options__1\"\nvalue=\"1\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_74_options__1\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/ninguno.jpg\" alt=\"Baja\" style=\"padding-left: 58px;\">Ich produziere keine Spermien\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][74][options][]\" id=\"ipt_fsqm_form_12_mcq_74_options__2\"\nvalue=\"2\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_74_options__2\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/vasectomia.jpg\" alt=\"Baja\" \/>Vasektomie\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][74][options][]\" id=\"ipt_fsqm_form_12_mcq_74_options__3\"\nvalue=\"3\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_74_options__3\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/seropositivo.jpg\" alt=\"Baja\" \/>HIV-positiv\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][74][options][]\" id=\"ipt_fsqm_form_12_mcq_74_options__4\"\nvalue=\"4\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_74_options__4\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/hepatitis.jpg\" alt=\"Baja\" \/>Hepatitis B oder C\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][74][options][]\" id=\"ipt_fsqm_form_12_mcq_74_options__5\"\nvalue=\"5\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_74_options__5\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/hereditaria-1.jpg\" alt=\"Baja\" style=\"padding-left: 32px;\">Erbliche Krankheit\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][74][options][]\" id=\"ipt_fsqm_form_12_mcq_74_options__6\"\nvalue=\"6\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_74_options__6\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/no-conozco-1.jpg\" alt=\"Baja\" style=\"padding-left: 26px;\">Ich kenne meine Geschichte nicht \/ Keiner der oben genannten Punkte\t\t\t\t<\/label><\/div><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><div\nid=\"ipt_fsqm_form_12_tab_6\" class=\"ipt_fsqm_form_tab_panel\"><div\nid=\"ipt_fsqm_form_12_layout_6_inner\" class=\"ipt-eform-layout-wrapper\"><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_main_heading_column\"><div\nclass=\"ipt_uif_column_inner\"><h3 class=\"ipt_fsqm_main_heading ipt_uif_heading ipt_uif_divider ipt_uif_align_left ipt_uif_divider_no_icon ipt_uif_divider_icon_no_bg\">\n<span\nclass=\"ipt_uif_divider_text\">\n<span\nclass=\"ipt_uif_divider_text_inner\">\nSchritt 4<span\nclass=\"subtitle\"><\/span>\t\t\t\t<\/span>\n<\/span><\/h3><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_12[mcq][75][m_type]\" id=\"ipt_fsqm_form_12_mcq_75_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_12[mcq][75][type]\" id=\"ipt_fsqm_form_12_mcq_75_type\" value=\"slider\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_slider\" id=\"ipt_fsqm_form_12_mcq_75\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_12_mcq_75_value\">Das Alter meines Partners<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_empty_box ipt_uif_slider_box\">\n<input\ndata-floats=\"1\" type=\"number\" min=\"18\" max=\"50\" step=\"1\" data-nomin=\"\" data-show-count=\"\" data-labels=\"{&quot;first&quot;:false,&quot;last&quot;:false,&quot;rest&quot;:false,&quot;labels&quot;:[]}\" data-prefix=\"\" data-suffix=\"\" class=\"ipt_uif_slider check_me validate[funcCall[iptUIFSliderVal]]\" data-min=\"18\" data-max=\"50\" data-step=\"1\" name=\"ipt_fsqm_form_12[mcq][75][value]\" id=\"ipt_fsqm_form_12_mcq_75_value\" value=\"18\" data-vertical=\"\" data-height=\"300\" \/><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><div\nid=\"ipt_fsqm_form_12_tab_7\" class=\"ipt_fsqm_form_tab_panel\"><div\nid=\"ipt_fsqm_form_12_layout_7_inner\" class=\"ipt-eform-layout-wrapper\"><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_main_heading_column\"><div\nclass=\"ipt_uif_column_inner\"><h3 class=\"ipt_fsqm_main_heading ipt_uif_heading ipt_uif_divider ipt_uif_align_left ipt_uif_divider_no_icon ipt_uif_divider_icon_no_bg\">\n<span\nclass=\"ipt_uif_divider_text\">\n<span\nclass=\"ipt_uif_divider_text_inner\">\nSchritt 5<span\nclass=\"subtitle\"><\/span>\t\t\t\t<\/span>\n<\/span><\/h3><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_12[mcq][76][m_type]\" id=\"ipt_fsqm_form_12_mcq_76_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_12[mcq][76][type]\" id=\"ipt_fsqm_form_12_mcq_76_type\" value=\"checkbox\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_checkbox\" id=\"ipt_fsqm_form_12_mcq_76\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_centered\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_12_mcq_76\">Die Krankengeschichte meines Partners<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][76][options][]\" id=\"ipt_fsqm_form_12_mcq_76_options__0\"\nvalue=\"0\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_76_options__0\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/baja-1.jpg\" alt=\"Baja\" \/>Geringe ovarielle Reserve\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][76][options][]\" id=\"ipt_fsqm_form_12_mcq_76_options__1\"\nvalue=\"1\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_76_options__1\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/trompas-1.jpg\" alt=\"Ligadura de trompas\" \/>Tubenligatur\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][76][options][]\" id=\"ipt_fsqm_form_12_mcq_76_options__2\"\nvalue=\"2\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_76_options__2\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/hereditaria-1.jpg\" alt=\"Enfermedad hereditaria\" \/>Erbliche Krankheit\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][76][options][]\" id=\"ipt_fsqm_form_12_mcq_76_options__3\"\nvalue=\"3\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_76_options__3\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/endometriosis-1.jpg\" alt=\"Soy seropositiva\" \/>Endometriose\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][76][options][]\" id=\"ipt_fsqm_form_12_mcq_76_options__4\"\nvalue=\"4\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_76_options__4\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/no-conozco-1.jpg\" alt=\"No conozco mi historia\" \/>Ich kenne meine Geschichte nicht \/ Keiner der oben genannten Punkte\t\t\t\t<\/label><\/div><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_12[mcq][86][m_type]\" id=\"ipt_fsqm_form_12_mcq_86_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_12[mcq][86][type]\" id=\"ipt_fsqm_form_12_mcq_86_type\" value=\"checkbox\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_checkbox\" id=\"ipt_fsqm_form_12_mcq_86\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_centered\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_12_mcq_86\">Die Krankengeschichte meines Partners<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][86][options][]\" id=\"ipt_fsqm_form_12_mcq_86_options__0\"\nvalue=\"0\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_86_options__0\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/baja-1.jpg\" alt=\"Baja\" \/>Geringe ovarielle Reserve\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][86][options][]\" id=\"ipt_fsqm_form_12_mcq_86_options__1\"\nvalue=\"1\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_86_options__1\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/trompas-1.jpg\" alt=\"Ligadura de trompas\" \/>Tubenligatur\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][86][options][]\" id=\"ipt_fsqm_form_12_mcq_86_options__2\"\nvalue=\"2\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_86_options__2\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/hereditaria-1.jpg\" alt=\"Enfermedad hereditaria\" \/>Erbliche Krankheit\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][86][options][]\" id=\"ipt_fsqm_form_12_mcq_86_options__3\"\nvalue=\"3\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_86_options__3\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/endometriosis-1.jpg\" alt=\"Soy seropositiva\" \/>Endometriose\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in 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for=\"ipt_fsqm_form_12_mcq_85_options__2\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/hereditaria-1.jpg\" alt=\"Enfermedad hereditaria\" \/>Erbliche Krankheit\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_12[mcq][85][options][]\" id=\"ipt_fsqm_form_12_mcq_85_options__3\"\nvalue=\"3\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_12_mcq_85_options__3\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/endometriosis-1.jpg\" alt=\"Soy seropositiva\" \/>Endometriose\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in 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medium primary-button\" name=\"ipt_fsqm_form_12_button_prev\" id=\"ipt_fsqm_form_12_button_prev\"> Vorherige<\/button>\n<button\ntype=\"submit\" class=\"ipt_uif_button eform-material-button eform-ripple ipt_fsqm_form_button_submit medium primary-button\" name=\"ipt_fsqm_form_12_button_submit\" id=\"ipt_fsqm_form_12_button_submit\"> Confermare<\/button>\n<button\ntype=\"button\" class=\"ipt_uif_button eform-material-button eform-ripple ipt_fsqm_form_button_next medium primary-button\" name=\"ipt_fsqm_form_12_button_next\" id=\"ipt_fsqm_form_12_button_next\"> Folge<\/button><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/form><\/div><div\nstyle=\"display: none;\" class=\"ipt_fsqm_form_message_success ui-widget ui-widget-content ui-corner-all ipt_uif_widget_box\"><div\nclass=\"ui-helper-reset ui-helper-clearfix ui-widget-header ui-corner-all\"><h3><i\ntitle=\"\" class=\" ipt-icomoon-checkmark-circle ipticm prefix\"><\/i>\nVielen Dank f\u00fcr Ihre Antwort, wir durchsuchen unsere Datenbank und in wenigen Sekunden erhalten Sie unsere Antwort, die \u00fcber 40 Jahren Erfahrung beruht.<\/h3><\/div><div\nclass=\"ui-widget-content ui-corner-all ipt_fsqm_success_wrap\"><\/div><\/div><div\nstyle=\"display: none;\" class=\"ipt_fsqm_form_message_error ui-widget ui-widget-content ui-corner-all ipt_uif_widget_box\"><div\nclass=\"ui-helper-reset ui-helper-clearfix ui-widget-header ui-corner-all\"><div><i\ntitle=\"\" class=\" ipt-icomoon-laptop ipticm prefix\"><\/i>\nServer Side Error<\/div><\/div><div\nclass=\"ui-widget-content ui-corner-all\"><p>We faced problems while connecting to the server or receiving data from the server. Please wait for a few seconds and try again.<\/p><p>If the problem persists, then check your internet connectivity. If all other sites open fine, then please contact the administrator of this website with the following information.<\/p><p\nclass=\"jqXHR\">\n<strong>TextStatus: <\/strong><span\nclass=\"textStatus\">undefined<\/span><br\n\/>\n<strong>HTTP Error: <\/strong><span\nclass=\"errorThrown\">undefined<\/span><\/p><\/div><\/div><div\nstyle=\"display: none\" class=\"ipt_uif_widget_box ipt_fsqm_form_message_process\"><div\nclass=\"ui-widget ui-widget-header ui-corner-all\"><style type=\"text\/css\">.ipt_uif_ajax_loader,\n\t\t\t.ipt_uif_ajax_loader *,\n\t\t\tipt_uif_ajax_loader *::before,\n\t\t\tipt_uif_ajax_loader *::after {\n\t\t\t\tbox-sizing: border-box;\n\t\t\t}<\/style><div\nclass=\"ipt-eform-preloader-inline ipt_uif_ajax_loader\"><div\nclass=\"ipt-eform-preloader-inner\"><div\nclass=\"ipt-eform-preloader-circle\"><div\nclass=\"preloader-wrapper active\"><div\nclass=\"spinner-layer spinner-blue\"><div\nclass=\"circle-clipper left\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"gap-patch\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"circle-clipper right\"><div\nclass=\"circle\"><\/div><\/div><\/div><div\nclass=\"spinner-layer spinner-red\"><div\nclass=\"circle-clipper left\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"gap-patch\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"circle-clipper right\"><div\nclass=\"circle\"><\/div><\/div><\/div><div\nclass=\"spinner-layer spinner-yellow\"><div\nclass=\"circle-clipper left\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"gap-patch\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"circle-clipper right\"><div\nclass=\"circle\"><\/div><\/div><\/div><div\nclass=\"spinner-layer spinner-green\"><div\nclass=\"circle-clipper left\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"gap-patch\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"circle-clipper right\"><div\nclass=\"circle\"><\/div><\/div><\/div><\/div><\/div><div\nclass=\"ipt-eform-preloader-text\"><div\nclass=\"ipt-eform-preloader-text-inner ipt_uif_ajax_loader_text\">Vielen Dank<\/div><\/div><div\nclass=\"clear\"><\/div><\/div><\/div><\/div><\/div><div\nstyle=\"display: none;\" class=\"ipt_fsqm_form_validation_error ui-widget ui-widget-content ui-corner-all ipt_uif_widget_box\"><div\nclass=\"ui-helper-reset ui-helper-clearfix ui-widget-header ui-corner-all\"><div><i\ntitle=\"\" class=\" ipt-icomoon-warning2 ipticm prefix\"><\/i>\n<span\nclass=\"fsqm_ve_text\">Error<\/span><\/div><\/div><div\nclass=\"ui-widget-content ui-corner-all\"><p\nclass=\"fsqm_ve_msg\">Some error has occured.<\/p><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>F\u00fcllen Sie dieses Formular anonym und kostenlos aus, um ausf\u00fchrliche Informationen \u00fcber die Behandlung zu erhalten, die am besten zu Ihrer Situation passt. Wir werden Ihnen erkl\u00e4ren woraus die Behandlung besteht, wie hoch die Erfolgsaussichten bzw die Kosten sind, und wie lange Sie f\u00fcr die Durchf\u00fchrung ben\u00f6tigen.<\/p>\n","protected":false},"author":1,"featured_media":28630,"parent":0,"menu_order":1,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-16448","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Kostenlose Online-Pr\u00e4diagnose | Dexeus Fertility<\/title>\n<meta name=\"description\" content=\"Mit nur 5 Klicks empfiehlt Ihnen die kostenlose Vordiagnose von Dexeus Fertility die f\u00fcr Sie am besten geeignete Behandlung zur assistierten Reproduktion.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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